康复学报 (Feb 2024)
Effect of Extracorporeal Diaphragmatic Pacing Combined with Four-Point Kneeling Position Training on Pulmonary Function in Patients with Ischemic Stroke
Abstract
ObjectiveTo observe the clinical effect of extracorporeal diaphragmatic pacing combined with four-point knee-ling position training on pulmonary function in patients with ischemic stroke.MethodsA total of 60 patients with ischemic stroke admitted to the Rehabilitation Department of the Fourth Affiliated Hospital of Soochow University from January 1, 2023 to June 30, 2023 were enrolled and randomly divided into control group and treatment group, with 30 cases in each group. Both groups received regular basic training. The control group was treated with extracorporeal diaphragmatic pacing, and the treatment group was treated with extracorporeal diaphragmatic pacing, while combined with four-point kneeling training. After 8 weeks of continuous treatment, the patients were evaluated for changes of clam endexpiratory diaphragmatic thickness (CEEDT), maximum end-inspiratory diaphragm thickness (MEIDT), quiet breathing diaphragm mobility (QBDM), deep breathing diaphragm mobility (DBDM), forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), FEV1/FVC, peak expiratory flow (PEF), 6-minute walking distance (6MWD) and Borg score of patients were detected and evaluated in both groups.ResultsThere were no significant differences in the pre-treatment general data and baseline evaluation results at baseline, before treatment between the two groups (P>0.05). Compared with the pre-treatment, CEEDT of the unaffected side increased after 8 weeks of treatment in the control group (P<0.05), and CEEDT on the affected side significantly increased after 4 and 8 weeks of treatment (P<0.05); in the treatment group, CEEDT of both the unaffected and affected sides significantly increased after 4 and 8 weeks of treatment (P<0.05). Compared with the control group, the CEEDT of both the unaffected and affected sides increased in the treatment group after 8 weeks of treatment (P<0.05). After 4 and 8 weeks of treatment, the MEIDT, QBDM, DBDM on both the unaffected and affected sides, as well as the patients' FEV1, FVC, PEF, 6MWD were all higher than those before treatment, and Borg score were lower than those before treatment (P<0.05). After 4 and 8 weeks of treatment, the MEIDT, QBDM, and DBDM of the unaffected and affected sides, and FEV1, FVC and PEF in the treatment group were significantly higher than those in the control group (P<0.05). Compared with the control group, FEV1/FVC and 6MWD increased and Borg score decreased in the treatment group after 8 weeks of treatment (P<0.05).ConclusionExtracorporeal diaphragmatic pacing combined with four-point kneeling position training can improve pulmonary function in patients with ischemic stroke.
